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Childcare Policy for a Healthy Start
Childcare Policy for a Healthy Start
Jamie Jeffrey, MDProject Director, KEYS 4
HealthyKids
Medical Director, CMC & HealthyKids
Pediatric Weight Management Program
Healthy Kids, Healthy Communities
KEYS 4 HealthyKids
One of 41 sites selected by Robert Wood Johnson Foundation (RWJF) for the Healthy Kids, Healthy Communities Grant
Partnership of over 22 organizations in Kanawha County
Facilitating policy and environmental change
Overall Goal is to provide access to healthy, affordable food and increased physical activity
K-E-Y-S
Knowledge 5-2-1-0
Eating Healthy Community Gardens
Youth Being Active PA Opportunity Maps Parks & Greenspaces
Safety & Empowerment Joint Use Agreements
NHANES DATA
Age of Onset of Pediatric Overweight in CMC
Age of Onset of Pediatric BMI Shifting
-5
0
5
10
15
20
25
2 3 4 5 6 7 8 9 10 11 12 13 14
Age
Normal to Overweight
Overweight to Obese
Normal to Obese
Bogalusa Heart Study
Cohort Based 1973-19962,610 Children 2-17 years followed
to ages 18-37 yearsMean follow-up 17.6 yearsBMI-for-age & Skinfold (SF)
thickness in childhood compared to adult mean SF (subscapular & triceps SF)
Bogalusa: Proportion of Children Who Become Obese
Adults
0
10
20
30
40
50
60
70
80
90
100
2-5years
6-8years
9-11years
12-14years
15-17years
< 50% BMI
>95% BMI
“Where” are these younger kids?
DaycareAfter-school programsPre-schoolsHeadstartsFamily Home Child Care
Centers
Child Care plays a role
~60% of 3-6 year olds are in some type of non-parental care
Child Care setting is ideal for promoting early development of health behaviors
What is…
Nutrition And Physical ActivitySelfAssessment for Child Care
NAP SACC Program Identified as one of three model programs to address obesity prevention in child care.
The other programs noted were Nemours Childhood Obesity Model, supported by the Nemours Health and Prevention Services and I am Moving, I am Learning, a health promotion and obesity prevention enhancement developed for Head Start.
NAP SACC Steps
1. Self-Assessment
2. Action Planning/Goal Setting
3. Workshop Delivery
4. Targeted Technical Assistance
5. Evaluate, revise and repeat
Step 1: Self-Assessment
• Facility director completes self-assessment instrument with help from key staff, such as the cook or program planner.
Self-Assessment
Nutrition Key AreasFruits and Vegetables
Meats, Fats, and Grains
Beverages
Menus and Variety
Feeding Practices
Foods Outside of Meals/Snacks
Supporting Healthy Eating
Nutrition Education
Nutrition Policies
Physical Activity Key Areas
Active Play vs. Inactive Time
Play Environment
Supporting PA
PA Education
PA Policies
KEYS 4 HK Childcare Workshop
Self Assessment Completed by 1-1-11
Workshop Mid 1-11F/U Workshops every 4-6 weeksTA by phone/email from KEYS
Childcare Consultant
Thru Policy & Environmental Change
www.Keys4HealthyKids.org
304-388-7145
Survey Process
NAP SAAC ToolkitEntered into Survey MonkeyKEYS Team Members called
Childcare Center and Head Start Directors
Incentive of $100 gift certificate
Policy Assessment
Nutrition
Only 17% of policy questions were able to be answered
Policies too vague or non-existent
Physical Activity
47% of policy questions were able to be answered
Policies better to find but still inadequate in number
Center Survey Results
Sugary Drinks
Center Survey Results
Sweet/Salty Foods
Center Survey Results
Fruit
Center Survey ResultsVeggies
Center Survey Results
Active Play
Center Survey Results
Outdoor Active Play
Center Survey Results
Outdoor Play Space Includes…